Exam Review
- A nurse is caring for a migrant farmworker who has been working in the agricultural industry for the past 10 years. When questioned about environmental hazards, the client reports regular exposure to pesticides. Which of the following is the client at increased risk of developing?A)HeadachesB)Skin rashesC)CancerD)Memory loss
- Which of the following factors has the largest impact on health disparities among all populations?A)Lifestyle choicesB)PovertyC)Education levelD)Ethnicity
- The nurse is caring for an elderly client who has written advanced medical directives. Which of the following best describes what this means?A)The client has made decisions regarding treatment if incapacitated.B)The client has a Do Not Resuscitate order.C)The client has a living willD)The client's family has decided on a medical treatment regimen.
- A patient with a long history of asthma with many hospital admissions is referred to a case manager for disease management. Which of the following best describes the purpose of this referral?A)Chronic and costly disease conditions that require long-term care interventionsB)Patients who will need an advanced practice nurse instead of a physician for monitoringC)Those who seek to control use by providing clients with the correct informationD)Patients who cannot handle their disease
Exam Review
- What is the most common disability occurring in the United States in persons aged 18 years and older?A)ArthritisB)StrokeC)CancerD)Diabetes
- A nurse is demonstrating how a family relates to the other units in the community. Which of the following assessment instruments would be appropriate for the nurse to use?A)Family interventionB)Family assessmentC)EcomapD)Genogram
- A nurse uses a behavioral health risk survey and identifies the factors leading to obesity in the family. Which of the following levels of prevention best describes the nurse's action?A)Tertiary preventionB)AssessmentC)Secondary preventionD)Primary prevention
- A client is self-employed as a mechanic and has no health insurance coverage. Which of the following best describes the legislation that will assist this client in obtaining health insurance?A)Health Insurance Portability and Accountability Act (HIPAA)B)Balanced Budget ActC)Patient Protection and Affordable Care Act (ACA)D)Social Security Act
Exam Review
- A nurse is using the provisions of the Family Medical Leave legislation. Which of the following actions would the nurse take?A)Providing Medicaid to a family who cannot afford health insuranceB)Taking a defined amount of time off work for family events without fear of job lossC)Resigning from employment, but retaining health insuranceD)Sharing family information with colleagues
- A nurse is implementing an intervention at both the primary and tertiary levels of prevention. Which of the following best describes the nursing intervention?A)Developing a targeted case management programB)Providing emergency shelter housingC)Offering physical and mental health servicesD)Establishing a needle exchange program
- A nurse is assessing the health risks of a family. Which of the following health risks would the family be most likely to voluntarily assume?A)Newly built power plantB)Smoking cigarettesC)Industrial pollutionD)Speeding vehicles near the playground
- A nurse is actively participating in efforts to reduce gun violence among young people. Which of the following actions is most likely being taken by the nurse?A)Passing legislation to support gun controlB)Identifying populations at risk for violenceC)Caring for clients who have sustained gunshot woundsD)Searching lockers at school, looking for weapons and contraband
Exam Review
- A nurse is providing maternal-child care for rural women. The nurse would like to intervene with pregnant women who are at risk for poor health outcomes. Which of the following populations would be the target population for the nurse's care?A)Caucasians who live in remote areasB)Latinos who live in urban environmentsC)Those who seek health from general practitionersD)Those who live on or near Indian reservations
- A mother tells the nurse she is afraid to have her infant immunized. Which of the following statements would be the most appropriate response by the nurse?A)"Researching the Internet will provide you with more information as to the importance of immunizations.B)"Your infant received active immunity at birth, so immunizations are not indicated until 4 months of ageC)"It is normal to be concerned, as some immunizations have been linked to autism."D)"Choosing not to vaccinate your child puts your child and others at risk
- A nurse refers a client to an assistance program that requires the individual to find a job and/or enroll in a job training program. Which program is being used?A)MedicaidB)Aid to Families with Dependent Children (AFDC)C)Women, Infants, and Children (WIC)D)Temporary Assistance for Needy Families (TANF)
- A congressional mandate for the addition of folic acid to cereals in the United States to reduce neural tube defects in infants has been implemented. Which of the following levels of prevention has been addressed?A)Secondary preventionB)AssessmentC)Tertiary preventionD)Primary prevention
Exam Review
- A nurse is providing primary prevention when working with the homeless. Which of the following best describes what is being implemented?A)Creating drug and alcohol treatment optionsB)Providing emergency housing aidC)Offering effective job training programsD)Evaluating comprehensive case management programs
- A nurse's excessive attention to cost containment impairs the nurse's duty to provide measures to improve health. Which of the following ethical principles is being influenced?A)NonmaleficenceB)AutonomyC)BeneficenceD)Veracity
- A community health nurse is working with adolescents. Which of the following characteristics would most likely be displayed by an adolescent who is at increased risk of engaging in risk-taking behavior?A)High self-esteemB)Poor academic performanceC)Involvement in extracurricular activitiesD)Middle-class income
- The nurse is assessing factors that determine or influence whether disease or other unhealthy events will occur. What is the process of assessing these factors called?A)Risk factorsB)Life-event riskC)Risk appraisalD)Risk reduction
Exam Review
- The nurse, with agreement from the family, arranges for families to see social workers on the same day that they bring their children for follow-up care in a pediatric cardiology clinic. Which of the following roles is being performed?A)CaregiverB)CoordinatorC)CollaboratorD)Case Finder
- A nurse is caring for a client who has designated someone else to make health care decisions when they are unable to do so. Which of the following is being used by the client?A)An advanced medical directiveB)A living willC)A durable medical power of attorneyD)The Patient Self-Determination Act
- Which of the following is a characteristic of a vulnerable population?A)Have worse outcomes with better access to health care than the general population.B)Have a single risk factor but experience worse health outcomes than the general population.C)Have worse health outcomes and an increased sensitivity to risk factors than the general population.D)Have multiple risk factors but equal health outcomes to the general population.
- A nurse is implementing Wagner's Chronic Care Model (CCM). Which of the following actions would most likely be taken by the nurse?A)Create a budget for chronic disease managementB)Conduct depression screenings in the communityC)Educate a community group about hypertension control.D)Administer immunizations to community members.